Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Michigan for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Michigan only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Michigan (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Childrens Clinic Of Michigan PLLC (NPI 1912161134)

Field	Value
Entity Type	Organization
Organization	Childrens Clinic Of Michigan PLLC
Address	9632 Conant St
City	Hamtramck
State	MI
ZIP	48212
Taxonomy	Specialist
NPI Enumerated	July 16, 2008

Payer Source	Total Paid
Medicaid	$11.9M
Medicare	$0

Medicaid: Complete Services Breakdown

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

86 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	90,340	$70	$6M
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	33,310	$50	$1.5M
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	8,890	$80	$720K
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	8,800	$80	$712.5K
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	7,030	$70	$506.3K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	4,840	$90	$430.3K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	4,830	$90	$429.5K
90471	In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.	29,830	$10	$328.1K
90472	This code represents each injection of a vaccine after the first; list this code in addition to the code for the first injection.	13,080	$20	$300.8K
99381	The provider performs a well–baby visit for a child under the age of one.	1,360	$90	$118.6K

Showing 1–10 of 86

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Michigan providers billing the same CPT/HCPCS codes.

Claims Volume vs. Michigan Distribution

Childrens Clinic Of Michigan PLLC — 14 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Michigan

Full comparison — all codes billed, vs. Michigan median

86 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	849	4,380	1,000	$70	$289.9K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	22	4,770	1,060	$50	$247.8K
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	37	670	730	$60	$140K
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	51	590	850	$50	$134.5K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	1,042	1,170	170	$90	$107.9K
99204	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the provider…	1,471	1,860	220	$90	$96.9K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	23	720	420	$60	$93.9K
99203	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the provider…	1,928	2,000	260	$60	$84.2K
99396	The provider performs an established well–patient visit for a patient who is between the ages of 40 and 64.	765	830	210	$70	$73.5K
99395	The provider performs an established well–patient visit for a patient who is between the ages of 18 and 39.	254	860	260	$70	$71.6K

Showing 1–10 of 86

Nearby Providers

Other providers in the same ZIP code as Childrens Clinic Of Michigan PLLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Fresh Start Transitional Homes	MI	Adult Care Home Facility	$0	$7.4M
Eyas Kanaan	MI	Internal Medicine Physician	$232.1K	$0
Mohammed Rahman	MI	Family Nurse Practitioner	$172.3K	$0
Elyse Wartel	MI	Clinical Social Worker	$131.9K	$930
Motahar Ahmed	MI	General Practice Physician	$122.7K	$0
Redwan Uddin	MI	Family Medicine Physician	$94.9K	$0
Askari Asante	MI	Clinical Psychologist	$86.1K	$0
Greg Hackel	MI	Internal Medicine Physician	$77.9K	$0
Sudha Reddy	MI	Allergy & Immunology Physician	$45K	$0

Childrens Clinic Of Michigan PLLC — Billing Profile & Reimbursement Data

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Childrens Clinic Of Michigan PLLC — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References